<div>
  <div class="inner_screen">
  <div id="login_screen">

   <div class="login_box" style="padding-top:10px;">

     <div id="signup-wrap">

      <div class="fheading"><img src="/images/resetpassword.png" width="159" height="24" alt="forgot password of emotions mirror" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;

	  <span style="color:#F00;font-weight:bold"></span></div>

	  <div class="clear"></div>

      <div class="formleft">

	  <form action="/user/login/fgtpass" method="POST" name="regform" class="form">

        
        <h4>Email Address<span style="color:#F00">*</span></h4>

        <input name="email" type="text" id="email" value="" />

      <div class="clear"></div>

       
     

      <div style="padding:10px 0;">

        <input type="submit" name="Signup" id="button" value="Submit" class="submit_btn" />

        </div>

		</form>

      </div>    

  <div class="clear"></div>

</div>
</div>
</div>
</div>

</div>
